Digoxin is a cardiac glycoside that has a narrow therapeutic window. Because of this, we typically monitor digoxin levels. If levels get too high, we can run into adverse effects. In some cases, particularly geriatric patients, those adverse can be misinterpreted as...
Thiazide diuretics are commonly prescribed medications used to treat hypertension, edema, heart failure, and ascites. They work by removing excess salt and water from the body through the urine. This ultimately helps to reduce fluid retention and decrease blood...
The kidney plays many vital roles in the body. One of those roles is to eliminate medications and their metabolites. When the kidney is not functioning well, drugs are eliminated from the body at a slower rate and can accumulate. Those higher drug concentrations can...
Digoxin is one of those medications that has a lot of unique clinical quirks. Here are a few clinical pearls you must remember when using digoxin in CHF. When using digoxin in CHF (more specifically (HFrEF) you must remember to check electrolytes. Alterations in...
I’ve been asked to discuss the relationship between Digoxin levels and potassium…so I will. Digoxin toxicity was discussed earlier this week, and obviously the kidney plays a big role in both digoxin levels and potassium homeostasis. Individuals with low potassium may...